Provider Demographics
NPI:1740203694
Name:ARBOR HILLS DENTAL CARE
Entity Type:Organization
Organization Name:ARBOR HILLS DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/ DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:LAM DANG
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-955-9500
Mailing Address - Street 1:175 N MILWAUKEE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-4302
Mailing Address - Country:US
Mailing Address - Phone:847-955-9500
Mailing Address - Fax:847-955-9519
Practice Address - Street 1:175 N MILWAUKEE AVE STE 200
Practice Address - Street 2:
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-4302
Practice Address - Country:US
Practice Address - Phone:847-955-9500
Practice Address - Fax:847-955-9519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty